Port Orange Internists PA
NPI #1689861205 in Port Orange, Florida
Provider Information
- NPI Number
- 1689861205
- Entity Type
- Organization
- Organization Name
- Port Orange Internists PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 27, 2007
- Last Updated
- Sep 27, 2007
Practice Location
- Address
- 3890 TURTLE CREEK DR
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-9358
- Phone
- (386) 756-4400
Authorized Official
- Name
- SOUHEIL MOUSSLY, MD
- Title
- OWNER
- Phone
- (386) 756-4400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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